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Stephanie Requena
Independent Duty Corpsman in Southwest Harbor, Maine
NPI 1235801085

Stephanie Requena is a Independent Duty Corpsman based in Southwest Harbor, ME and is specialized in Independent Duty Corpsman. Stephanie Requena practices in Southwest Harbor, ME. The NPI Number for Stephanie Requena is 1235801085 and holds a License No. (Maine).

The current practice location address for Stephanie Requena is 184 Clark Point Rd, Southwest Harbor, ME and can be reached out via phone at 207-244-4678. You can also correspond with Stephanie Requena through the mailing address at PO BOX 5000, SOUTHWEST HARBOR, ME - 04679-5000 (mailing address contact number: 207-244-4678).

Location: 184 Clark Point Rd, Southwest Harbor, ME, 04679-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235801085
Provider Name
Stephanie Requena
Credential
Provider Entity Type
Individual
Gender
Female
Address
184 Clark Point Rd, Southwest Harbor, ME, 04679-5000
Phone Number
207-244-4678
Fax Number
Provider Enumeration Date
09/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
184 Clark Point Rd
City
Southwest Harbor
State
Maine
Zip
04679-4414
Phone Number
207-244-4678
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 5000
City
Southwest Harbor
State
Maine
Zip
04679-5000
Phone Number
207-244-4678
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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